Tipton, MO

Tipton Oak Manor

4-star overall rating with 4-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

601 West Morgan Street, Tipton, MO

(660) 433-5574

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

66

Certified beds

Average residents

56

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

James & Judy Lincoln

Operator or chain grouping

Approved since

2002-10-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

58 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.25

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.37

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.47

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.09

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.63

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.80

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

3.71

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

74%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,020

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

8.97

Composite VBP score used to determine payment impact.

Payment multiplier

0.9808

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 66.67% · Performance 80.00% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.79

Baseline 3.01 hours · Performance 3.59 hours · Measure score 1.79 · Achievement 1.79 · Improvement 1.60

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.04%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 38 · Observed rate 5.26% · Lower 95% interval 6.3%
Discharge to community	48.02%	50.57% 2.5 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 39.29% · Lower 95% interval 31.52%
Medicare spending per beneficiary	0.94	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 28 · Denominator 28
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 28
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.57%	2.29% 1.3 pts worse	Numerator 1 · Denominator 28 · Adjusted rate 4.59%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.85%	8.2% 6.3 pts worse	Numerator 1 · Denominator 54
Staff flu vaccination coverage	6.35%	42% 35.6 pts worse	Numerator 4 · Denominator 63
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	4.0	2.1 1.9 pts worse	1.9 2.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 3.2 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.3 1.1 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	84.8% 15.2 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	90.9% 9.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	5.8%	4.1% 1.7 pts worse	3.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 6.2% · Q3 2.2% · Q4 4.1% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	14.7% 14.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	5.3%	5.5% 0.2 pts better	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 7.3% · Q3 2.4% · Q4 0.0% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.3%	25.3% 15 pts better	19.6% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 4.8% · Q3 9.3% · Q4 6.7% · 4Q avg 10.3%
Percentage of long-stay residents who received an antipsychotic medication	35.1%	25.0% 10.1 pts worse	16.7% 18.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 35.5% · Q3 36.4% · Q4 32.4% · 4Q avg 35.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	2.1%	0.0% 2.1 pts worse	0.1% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.1% · Q3 2.2% · Q4 2.0% · 4Q avg 2.1%
Percentage of long-stay residents whose ability to walk independently worsened	19.1%	20.3% 1.2 pts better	16.3% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.7% · Q2 15.8% · Q3 14.2% · Q4 15.3% · 4Q avg 19.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.0%	19.8% 2.2 pts worse	14.9% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 28.6% · Q3 27.9% · Q4 13.6% · 4Q avg 22.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.4% 1.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.1%	2.6% 1.5 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.8%	18.1% 5.3 pts better	19.8% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 10.2% · Q3 28.4% · Q4 4.0% · 4Q avg 12.8%
Percentage of long-stay residents with pressure ulcers	5.9%	5.0% 0.9 pts worse	5.1% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 6.2% · Q3 0.0% · Q4 7.1% · 4Q avg 5.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.0%	66.4% 26.6 pts better	81.7% 11.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 93.0%
Percentage of short-stay residents who had an outpatient emergency department visit	16.5%	13.4% 3.1 pts worse	12.0% 4.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 16.0% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.7%	25.3% 5.4 pts worse	23.9% 6.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.7% · Observed 28.0% · Expected 21.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-01 · Fire 2024-08-01

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-03-09 · Fire 2023-03-09

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2020-09-24 · Fire 2020-09-24

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-01

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-08-01

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-09-12

F · Potential for more than minimal harm 2023-03-09

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-04-20

F · Potential for more than minimal harm 2023-03-09

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-04-20

F · Potential for more than minimal harm 2023-03-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-04-20

F · Potential for more than minimal harm 2023-03-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-20

F · Potential for more than minimal harm 2023-03-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-04-20

F · Potential for more than minimal harm 2023-03-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-04-20

F · Potential for more than minimal harm 2023-03-09

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-04-20

F · Potential for more than minimal harm 2023-03-09

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-04-20

F · Potential for more than minimal harm 2023-03-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-09

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-09

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-04-20

F · Potential for more than minimal harm 2020-09-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-11-04

E · Potential for more than minimal harm 2020-09-24

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2020-11-04

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-08-01

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-08-01

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-01

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-12

C · Minimal harm 2024-08-01

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-09-12

B · Minimal harm 2024-08-01

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-09-12

F · Potential for more than minimal harm 2023-03-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-09

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-09

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-09

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-09

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-09

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-09

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-09

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-04-20

C · Minimal harm 2023-03-09

F575 · Resident Rights Deficiencies

Health

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Corrected 2023-04-20

Penalties and ownership